Individual
MICHAEL ERIC BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW (TEMP)
Contact information
Practice address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Mailing address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99097231A
IN
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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